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litIGN PERMIT APPLICATIOP <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS:Drop off hard copy paper application&plans to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> WASHINGTON CONTACT INFORMATION: (P)425-257-8810 l(E)PermitServices@everettwa.gov l(W)everettwa.gov/permits <br /> (Blue or Black Ink,.OnlyPlease) „ PROJECT SITE INFORMATION S --- ,. <br /> PROJECT SITE ADDRESS: STREET 12906 Suite C t Grill-- <br /> Prt4S`' PARCEL#: 28053000406200 <br /> CITY Everett STATE WA ZIP 98208 <br /> SUITE/UNIT#: C ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):The Joint Chiropractic <br /> ' CONTACT INFORMATION <br /> OWNER NAME:Fred Meyer Stores Inc <br /> OWNER MAILING ADDRESS: STREET 1014 VINE ST FL <br /> CITY Cincinatti STATE OH ZIP 45202 <br /> OWNER PHONE:503-539-8156 OWNER EMAIL:sisbell@1045inc.com <br /> CONTRACTOR CONTACT NAME:Berry Sign <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):Berryss857b7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024786 <br /> CONTRACTOR ADDRESS: STREET5002 S Washington St <br /> cry Tacoma' STATE WA ZIP 98409 <br /> CONTRACTOR PHONE:253 830-3600 CONTRACTOR EMAIL:mikel@berrysign.com <br /> PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253 830-3600 x151 <br /> M i ke Lee CONTACT EMAIL:mikel@berrysign.com <br /> SIGN PERMIT INFORMATION �1 <br /> VALUATION OF WORK: $10000 ASSOCIATED PERMIT#(if applicable): Cr�l2C8-0 s7 <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> DESCRIPTION OF WORK: Install one illuminated wall sign <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 16 Height: 3 Square Feet: 48 <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ❑✓Wall/Awning/Canopy-Qty: ❑Window-Qty: ❑Electronic Changing Message-Qty: <br /> El Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): _ <br /> SIGN LIGHTING: ❑Non-Iluminated ❑✓Illuminated-Type(backlit cabinet,etc.):Sub-permit E2208-051 *requires a separate electrical permit <br /> PLAN REVIEW REQUIREMENTS:Submit 2 hard copies of sign plans with permit application to Permit Intake Drop Box. <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> __----------7117'''-- <br /> 8.8.2022 PERMIT <br /> #S2208-001 <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />